Active NPI
David Leonard, DC
- Chiropractor
- Ellisville, MO
National Provider Identifier
1598283897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2017031986
- Practice address
- 249 Clarkson Rd Ste 101
Ellisville, MO 63011-2497 - Phone
- (636) 256-0707
- Fax
- (636) 394-3969
- NPI assigned
- Sep 7, 2017
- Last updated
- Oct 11, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2017031986 | MO | Primary |
Addresses
Primary practice location
249 Clarkson Rd Ste 101
Ellisville, MO 63011-2497
Mailing address
249 Clarkson Rd Ste 101
Ellisville, MO 63011-2497
Phone (636) 256-0707
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2017031986 | Other | MO | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
249 Clarkson Rd
Suite 101
Ellisville, MO 63011-2497
Phone (636) 256-0707
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Ellisville, MO
- NPI 1689600157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696982400000",
"number": "1598283897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "249 CLARKSON RD STE 101",
"city": "ELLISVILLE",
"state": "MO",
"postal_code": "630112497",
"telephone_number": "636-256-0707",
"fax_number": "636-394-3969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "249 CLARKSON RD STE 101",
"city": "ELLISVILLE",
"state": "MO",
"postal_code": "630112497",
"telephone_number": "636-256-0707",
"fax_number": "636-394-3969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONARD",
"first_name": "DAVID",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-07",
"last_updated": "2023-10-11",
"certification_date": "2023-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2017031986",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "2017031986",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ellisville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.